Organization
HAVEN HEALTH AND NUTRITION COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GOMEZ MS, RDN (REGISTERED DIETITIAN)
(714) 397-5332
Entity
Organization
Contact information
Practice address
7672 COLGATE AVE, WESTMINSTER, CA 92683-6217
(714) 397-5332
Mailing address
18047 BEACH BLVD UNIT 8005, HUNTINGTON BEACH, CA 92648-1304
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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